GEM STATE ENDOSCOPY
NPI 1821459496
Clinic/Center - Ambulatory Surgical in Lewiston, ID

Q: What is Gem State Endoscopy's NPI number?

The NPI number for Gem State Endoscopy is 1821459496. It was assigned to this organization in the NPPES registry on March 10, 2016.

Q: What is Gem State Endoscopy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since March 10, 2016CLIA 13D2115708 · Waiver

3709 14TH STREET, LEWISTON, ID 83501(208) 743-4373(208) 743-3369 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gem State Endoscopy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEM STATE ENDOSCOPY (NPI 1821459496) is a healthcare organization registered as an ambulatory surgical in Lewiston, Idaho and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through July 11, 2028 and lists Katie Blevins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821459496

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameGEM STATE ENDOSCOPY

Location Address3709 14TH STREETLewiston, ID 83501

Mailing Address2517 17th St Ste BLewiston, ID 83501-6311 · (208) 743-4373 · Fax (208) 743-3369

Phone(208) 743-4373

Fax(208) 743-3369

Organization SubpartNo

Authorized OfficialKatie BlevinsAdministrator · (208) 298-2135

Enumeration DateMarch 10, 2016

Last NPPES UpdateAugust 9, 2016

✔ NPI 1821459496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3709 14TH STREET, Lewiston, ID 83501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2115708

Gem State Endoscopy PLLC · Lewiston, ID

Active · expires Jul 11, 2028

CLIA Number13D2115708

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 12, 2026

Certificate Expiration DateJuly 11, 2028

Laboratory DirectorMandolyn Knight

Laboratory Phone(208) 298-2141

Laboratory LocationGem State Endoscopy PLLC3709 14th Street, Lewiston, ID 83501

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

271 services269 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

220 services211 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

167 services128 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

140 services140 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

51 services24 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

31 services31 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gem State Endoscopy's NPI number?

The NPI number for Gem State Endoscopy is 1821459496. It was assigned to this organization in the NPPES registry on March 10, 2016.

Where is Gem State Endoscopy located?

Gem State Endoscopy is located at 3709 14th Street, Lewiston, ID 83501. The listed phone number is (208) 743-4373.

What is Gem State Endoscopy's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Gem State Endoscopy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2115708) is associated with this NPI, valid through July 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gem State Endoscopy accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Gem State Endoscopy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gem State Endoscopy was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.